"And so if you're thinking that the craziness is that psychiatry is the doing away with the concept of narcissism you have fully missed the point: the issue isn't whether narcissism exists or not, the issue is who gets to decide if narcissism exists or not... Never mind that the new terms have no more validity than the old terms, and are equally invented."

By the way, I once spent a week programming the DSM-IV ailments into a web application -- the most depressing programming job I ever had.